NPI | 1518221571 |
---|---|
Former Name | ASHLEY J TULLMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CO PSY.0004431) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: IL 071009017) |
Enumeration Date | 2012-06-25 |
Last Update Date | 2016-08-24 |